Version 2013
Application for Approval
of Examiners
Supervisors are to complete this form in consultation with the student after having referred to the University’s Research
Degrees Regulations and Procedures within the Code of Practice. The Code of Practice can be viewed at:
http://www.dmu.ac.uk/research/graduate-school/current-research-students/code-of-practice/code-of-practice.aspx
All forms submitted must be typed in a font size no smaller than 10pt. Incomplete or hand written forms will be returned.
Completed forms and the External Examiner(s) CV(s) are to be sent to the Graduate School Office.
1.
2.
Student Details
Last Name:
First Name:
Student ID Number:
Form of Examination:
Mode of Study (Part-Time/Full-Time):
For the award of:
Effective date of registration
Expected date of examination:
Present post and place of work:
(Where the student is a member of permanent academic staff at DMU at the time of examination – two external examiners will be required)
Is the student a member of staff at DMU?
YES/NO:
If so state Job Title:
3.
The Programme of Research
Final Title of the investigation as it will
appear on the thesis:
(Acronyms must not be used)
Within the School / Department / Centre or Division:
Faculty:
Proposed name of academic discipline for degree certificate
(Maximum 3 words)
If permission was requested for confidentiality at Registration please confirm whether it is still required
4.
Supervisors
First Supervisor
Full Name with Title:
Post Held:
Contact Address:
Second Supervisor(s)
Full Name with Title:
Full Name with Title:
Post Held:
Post Held:
Contact Address:
Contact Address:
In the case of students transferring from MPhil to PhD please state name of internal assessor(s):
Full Name with Title:
Full Name with Title:
NOTE: If you have any queries please contact the Graduate School Office by email at researchstudents@dmu.ac.uk
Version 2013
5.
Proposed External Examiners
5.1 External (1)
Full Name with Title:
Post Held:
Contact Address:
Telephone:
Fax:
Email:
Qualifications gained with date, subject and awarding body. (Including professional qualifications)
Research and Related Scholarly Activity relevant to the proposed thesis topic:
(To include the two most recent publications):
Number of research students previously examined:
MPhil =
PhD =
* Where experience at non-UK institution please state the name and location of the institution below:
Any current / previous association with institution / staff / students with dates
Please outline any conflict of interest that the Committee should be made aware of:
Has the examiner examined at DMU within the last 5 years?
YES / NO * How many times?
Has a CV been submitted to the Graduate School Office?
YES / NO *
If NO, please email a copy to researchstudents@dmu.ac.uk.
(* Please delete as appropriate)
NOTE: If you have any queries please contact the Graduate School Office by email at researchstudents@dmu.ac.uk
Version 2013
5.2 External (2) (where appropriate, see regulations)
Full Name with Title:
Post Held:
Contact Address:
Telephone:
Fax:
Email:
Qualifications gained with date, subject and awarding body. (Including professional qualifications)
Research and Related Scholarly Activity relevant to the proposed thesis topic
(To include the two most recent publications):
Number of research students previously examined:
MPhil =
PhD
=
* Where experience at non-UK institution please state the name and location of the institution below:
Any current / previous association with institution / staff / students with dates
Please outline any conflict of interest that the Committee should be made aware of:
Has the examiner examined at DMU within the last 5 years?
YES / NO * How many times?
Has a CV been submitted to the Graduate School Office?
YES / NO *
If NO, please email a copy to researchstudents@dmu.ac.uk.
(* Please delete as appropriate)
NOTE: If you have any queries please contact the Graduate School Office by email at researchstudents@dmu.ac.uk
Version 2013
6.
Proposed Internal Examiners
6.1 Internal (1)
Full Name with Title:
Post Held:
Contact Address:
Telephone:
Fax:
Email:
Previous experience of examining registered Research Degree students *:
MPhil
PhD
* Where experience at non-UK institution please state the name and location of the institution below:
Qualifications gained, including professional qualifications:
Research and Related Scholarly Activity relevant to the proposed thesis topic:
6.2 Internal (2) (where appropriate, see regulations)
Full Name with Title:
Post Held:
Contact Address:
Telephone:
Fax:
Email:
Previous experience of examining registered Research Degree students *:
MPhil
PhD
* Where experience at non-UK institution please state the name and location of the institution below:
Qualifications gained, including professional qualifications:
Research and Related Scholarly Activity relevant to the proposed thesis topic:
7.
Information Justifying Choice of Examiners
NOTE: If you have any queries please contact the Graduate School Office by email at researchstudents@dmu.ac.uk
Version 2013
The form will be returned if this section is not completed in sufficient detail; please note it should include justification
of both internal and external examiners
8.
Signatures of Supervisors Proposing Examination Arrangements
We confirm that the information given on this form is, to the best of our knowledge, correct and that the student has not
worked closely with any of the examiners listed above unless stated in Section 7. Further we confirm that the thesis
submitted by the student will meet the requirements specified in the Code of Practice.
Signed
1st Supervisor
Date
2nd Supervisor
Date
2nd Supervisor
Date
Name
Signed
Name
Signed
Name
NOTE: If you have any queries please contact the Graduate School Office by email at researchstudents@dmu.ac.uk